Active NPI
Kassandra Marie Bertholf, DC
- Chiropractor
- North Platte, NE
National Provider Identifier
1821235318
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1544
- Practice address
- 1717 East 4TH Street
Suite a
North Platte, NE 69101-4392 - Phone
- (308) 534-5840
- Fax
- (308) 534-1531
- NPI assigned
- Jan 21, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1544 | NE | Primary |
Addresses
Primary practice location
1717 East 4TH Street
Suite a
North Platte, NE 69101-4392
Mailing address
PO Box 1752
North Platte, NE 69103-1752
Phone (308) 534-5840
Other names 1
- Miss Kassandra Marie Douglas
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Palmer College Chiropractic - Davenport, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1717 E 4TH St
Suite a
North Platte, NE 69101-4392
Phone (308) 534-5840
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| River Valley Chiropractic LLC | Current | Accepting new patients |
Locations
1717 E 4th St
Ste A
North Platte, NE 69101
Phone (308) 534-5840
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- North Platte, NE
- NPI 1598906422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1821235318",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1752",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691031752",
"telephone_number": "308-534-5840",
"fax_number": "308-534-1531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 EAST 4TH STREET",
"address_2": "SUITE A",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691014392",
"telephone_number": "308-534-5840",
"fax_number": "308-534-1531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERTHOLF",
"first_name": "KASSANDRA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-21",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "NE",
"license": "1544",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KASSANDRA",
"last_name": "DOUGLAS",
"middle_name": "MARIE",
"prefix": "MISS",
"credential": "DC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.